A Microsurgical Suture Technique Without the Need for Vascular Clamps

Abstract

Vascular clamps are often used during microvascular repair and anastomosis. However, pressure exerted by the clamps may damage the vessels, which compromises patency of vessels. This article reports on a microsurgical suture technique performed without any clamp to avoid clamp-related problems.

Keywords

Vascular clamp - Microsurgical repair - Suture technique

• References

• 1 Ikuta Y. Microvascular double clamp type A-II. J Reconstr Microsurg 1984; 1: 41-43
• 2 Pederson WC. Principles of microvascular surgery. In: Green DP, Hotchkiss RN, Pederson WC, Wolfe SW. Green’s operative hand surgery. 5th edn Churchill Livingstone, Philadelphia: 2005: 1529-1568
• 3 Margovsky AI, Chambers AJ, Lord RS. The effect of increasing clamping forces on endothelial and arterial wall damage: an experimental study in the sheep. Cardiovasc Surg 1999; 7 (4) 457-463
• 4 Dinsmore RC. Understanding surgical knot security: a proposal to standardize the literature. J Am Coll Surg 1995; 180: 689-699
• 5 Alpert BS, Buncke HJ, Brownstein M. Replacement of damaged arteries and veins with vein grafts when replanting crushed, amputated fingers. Plast Reconstr Surg 1978; 61: 17-22
• 6 Biemer E, Duspiva W. Complications in the replantation of amputated digits. Handchirurgie 1977; 9: 67-70
• 7 Bunt TJ, Manship L, Moore W. Iatrogenic vascular injury during peripheral revascularization. J Vasc Surg 1985; 2 (3) 491-498
• 8 Richling B, Griesmayr G, Lametschwandtner A, Scheiblbrandner W. Endothelial lesions after temporary clipping. A comparative study JNeurosurg 1979; 51 (5) 654-661
• 9 Wilber RG, Shaffer JW, Field GA. The effect of redundancy and tension on microvascular vein grafts. J Hand Surg [Am] 1984; 9: 649-652